Pharmacy Benefits Management (PBM) for Workers’ Comp

The City of Austin is seeking a subcontractor to manage pharmacy benefits for workers’ compensation cases, focusing on the administration of prescription drug benefits including formulary compliance, mail-order pharmacy services, and drug utilization review. This contract aims to ensure appropriate, cost-effective, and clinically sound medication use for injured workers while controlling drug spending and preventing misuse. The provider will be responsible for maintaining up-to-date formularies, facilitating access to medications through a mail-order pharmacy network, and conducting ongoing reviews of prescribing patterns to identify potential issues such as overutilization, interactions, or non-compliance with clinical guidelines. The solicitation was posted on June 23, 2026, with a response deadline of July 23, 2026, and falls under NAICS code 621420 for outpatient care centers, reflecting the specialized nature of pharmacy benefit management in a workers’ compensation context. While no set-aside provisions are specified, the contract is classified as a subcontract and will be managed by the City of Austin’s finance and administrative services division. The place of performance and point of contact details are not provided, but all work is expected to support the city’s workers’ compensation program under the jurisdiction of Texas. Interested parties must submit proposals by the stated deadline to be considered for award.